Mindy Li, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

34350 Issued in TX

Practice address

1912 E Hebron Pkwy Ste 104
Carrollton, TX 75007-1532

Phone

(972) 394-2140

NPI assigned

Mar 27, 2017

Last updated

Sep 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1063943488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 CEDARMONT ST",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453118",
            "telephone_number": "415-205-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 E HEBRON PKWY STE 104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071532",
            "telephone_number": "972-394-2140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 E Columbia St Ste 32",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061620",
            "country_code": "US",
            "telephone_number": "415-205-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "MINDY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "34350",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenae White, M.D. P.a.
• Jeffrey Jessada Lertdilok, FNP-C
• Michael Jeremy Leslie, BCABA
• Marygrace C Leveille, NP
• Taylor Lewis
• Andrea Libby, PTA
• Life Restore MD
• Life Savers Preventative Health Screenings, LLC
• Life-Like Laboratory LLC (Life-Like Laboratory)
• Lifecare 2.1, LLC (Lifecare Hospitals of North Texas)

• Pediatric Dentistry in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.